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Vitamin D Use Cuts Risk of Falls in Elderly
The findings from a new study suggest
that older persons may cut their risk of falls by more than 20
percent by taking vitamin D supplements. Further studies, however,
are needed to determine what type of vitamin D works best and
at what dose, and to clarify the benefits in men.
Although a few studies have shown
a reduced risk of falls with vitamin D use, many others have failed
to show a benefit. To better understand whether vitamin D protects
against falls, Dr. Heike A. Bischoff-Ferrari, from Harvard Medical
School in Boston, and colleagues analyzed data from ten previous
studies that looked at the association in elderly populations.
Five of the studies were included
in the main analysis, while the remaining five were used to verify
the results, according to the report published in the Journal
of the American Medical Association.
In the main analysis, vitamin D
users were 22 percent less likely to experience a fall than patients
who received inactive "placebo" pills or calcium. The authors
estimate that 15 subjects would need to receive daily vitamin
D supplements in order to prevent one person from falling.
In the second analysis, the risk
reduction seen with vitamin D use fell to 13 percent, but was
still statistically significant, the investigators note. Moreover,
the protective effects were not dependent on calcium use, duration
of therapy, vitamin D type or gender.
Due to limited numbers of subjects,
the protective effect observed for vitamin D use in men was not
statistically significant, the authors point out.
"The role of calcium and the optimal
amount necessary in combination with vitamin D could not be clearly
determined," the researchers note.
SOURCE: Journal of the American
Medical Association, April 28, 2004.
Reference
Source 89
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